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NPI Code Detail

MEDICARE: EMERGENCY PHYSICIANS OF NORTHWEST OHIO INC.

MEDICARE: EMERGENCY PHYSICIANS OF NORTHWEST OHIO INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000271379OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043274418
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY PHYSICIANS OF NORTHWEST OHIO INC.
Provider Business Mailing Address
First Line : PO BOX 351357
Second Line :
City : TOLEDO
State : OH
Zip : 43635-1357
Country : US
Telephone Number : 567-408-2002
Fax Number : 419-214-1196
Provider Business Practice Location Address
First Line : 2142 N COVE BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3895
Country : US
Telephone Number : 419-291-4101
Fax Number :
Authorized Official
Title or Position : CEO
Name : ED SCHOFIELD
Credential :
Telephone Number : 567-408-2002
Provider Enumeration Date : 04/13/2006
Last Update Date : 10/29/2020

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